中医烙法治疗慢性扁桃体炎的多中心临床研究  

A Multicenter Clinical Study on TCM Cauterization Method in Chronic Tonsillitis Treatment

作　　者：曲汝鹏[1,2] 孙海波[2] 冷辉[2] 刘大新[3] 郭少武[4] 忻耀杰[5] 王仁忠[6] 张勉[7] 周家璇 倪志军 

机构地区：[1]辽宁中医药大学,辽宁沈阳110032 [2]辽宁中医药大学附属医院,辽宁沈阳110032 [3]北京中医药大学东方医院,北京100078 [4]辽宁中医药大学附属二院,辽宁沈阳110034 [5]上海中医药大学附属曙光医院,上海200021 [6]山东中医药大学附属医院,山东济南250011 [7]广西中医药大学附属医院,广西南宁530023 [8]云南省中医院,云南昆明650021 [9]威海市中医医院,山东威海264599

出　　处：《辽宁中医杂志》2016年第4期780-782,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局"十一五"重点专科建设项目(06J1X1L120K120)

摘　　要：目的:全国多中心观察中医烙法治疗慢性扁桃体炎的临床疗效。方法:在"十一五"国家中医重点专科耳鼻咽喉科各单位门诊患者中筛选符合入选条件的慢性扁桃体炎患者148例,采用中医烙法治疗,每3天治疗1次,10次为1个疗程。一个疗程治疗后观察,患者的临床疗效、扁桃体肥大程度及临床症状体征量化积分变化。结果:中医烙法治疗后,临床痊愈56例,显效55例,有效28例,无效9例,愈显率75.00%,总有效率93.92%;扁桃体Ⅰ°肥大患者共计137例,占92.57%;有117例患者(79.05%)扁桃体缩小至Ⅰ°肥大;治疗后患者的临床症状、体征各项积分较治疗前明显降低,差异具有统计学意义(P<0.05)。结论:中医烙法在保留扁桃体组织前提下,能有效地缓解患者咽部异物感、刺激性咳嗽、咽干不适等临床症状,缩小扁桃体大小,减少扁桃体充血及脓栓残存,临床疗效显著,其方法简单,易操作,可重复,值得临床广泛推广。Objective： To observe the clinical effect of TCM cauterization method in the treatment of chronic tonsillitis with national multi-center. Methods： Results： In the period of 11 th five-year plan,a total of 148 cases of outpatients with chronic tonsillitis,in ENT department of national key specialty of TCM,used the method of TCM cauterization,once every three days,10 times for a course of treatment. Observe the patient＇s clinical effect,the degree of tonsillar hypertrophy and quantitative changes of clinical symptoms and signs after a course of treatment. Consequence： After treating by TCM cauterization method,56 cases were clinically cured,55 cases markedly improved,28 cases effective,9 no effective and the markedly effective rate was 75. 00%. The total effective rate was 93. 92%. A total of 137 cases had tonsil Ⅰ° hypertrophy,accounting for 92. 57%. There were 117 patients＇ tonsil（ 79. 05%） became smaller to Ⅰ° hypertrophy. After treatment,patients＇ clinical symptoms and signs score was significantly decreased and the difference is statistically significant（ P〈0. 05）. Conclusion： The method of TCM cauterization,by preserving tonsil tissue,can effectively relieve many clinical symptoms for patients,such as pharyngeal foreign body sensation,irritating cough,dry throat,reduce tonsil size and the almond pus bolt remaining inside body. The clinical curative effect is distinct. The method is simple,easy to operate and repeatable,worthy of clinical popularizing widely.

关 键 词：慢性扁桃体炎 中医烙法 临床研究 

分 类 号：R766.18[医药卫生—耳鼻咽喉科]